Custodial Care is Not Provided Sample Clauses
Custodial Care is Not Provided. Benefits will not be provided for any day in a Skilled Nursing Facility that CareFirst BlueChoice determines is primarily for Custodial Care. Services may be deemed Custodial Care even if:
A. A Member cannot self-administer the care;
B. No one in the Member’s household can perform the services;
C. Ordered by a physician;
D. Necessary to maintain the Member’s present condition; or SAMPLE E. Covered by Medicare.
Custodial Care is Not Provided. Benefits will not be provided for any day in a Skilled Nursing Facility that CareFirst determines is primarily for Custodial Care. Services may be deemed Custodial Care even if:
A. A Member cannot self-administer the care;
B. No one in the Member’s household can perform the services;
C. Ordered by a physician;
X. Xxxxxxxxx to maintain the Member’s present condition; or E. Covered by Medicare.
Custodial Care is Not Provided. Benefits will not be provided for any day in a Skilled Nursing Facility that CareFirst BlueChoice determines is primarily for Custodial Care.